Organization Active NPI

Transformational Health Centers

  • Family Medicine Physician
  • Whippany, NJ
National Provider Identifier
1548931504
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRANSFORMATIONAL HEALTH CENTERS
Practice address
375 Route 10 Ste 1
Whippany, NJ 07981-2115
Phone
(201) 716-9199
NPI assigned
Sep 21, 2021
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sam Ortiz
Title
Office Manager
Phone
(201) 716-9199

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Family Medicine Physician 207Q00000X NU Primary
Adult Medicine Physician 207QA0505X NU
Rehabilitation Chiropractor 111NR0400X NU

Addresses

Primary practice location

375 Route 10 Ste 1
Whippany, NJ 07981-2115

Mailing address

375 Route 10 Ste 1
Whippany, NJ 07981-2115
Phone (201) 716-9199

Other identifiers 1

IdentifierTypeStateIssuer
1689841744OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230530000999 NJ Part B Supplier - Clinic/Group Practice 9830555168 Receives reassigned benefits from 2 practitioners
Practice locations: Whippany, NJ

National Provider Directory

National Provider Directory

Locations

375 Route 10
Ste 1
Whippany, NJ 07981
Phone (201) 716-9199

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1548931504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROUTE 10 STE 1",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812115",
            "telephone_number": "201-716-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROUTE 10 STE 1",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812115",
            "telephone_number": "201-716-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-716-9199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689841744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.